Florida > Statewide > Department Of Business And Professional Regulation > Alcoholic Beverages And Tobacco
Spirituous Beverages Shipped To-Within Florida 4000A-125-3 - Florida
| Spirituous Beverages Shipped To-Within Florida Form. This is a Florida form and can be used in Alcoholic Beverages And Tobacco Department Of Business And Professional Regulation Statewide . |
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DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO 1940 NORTH MONROE STREET ยท TALLAHASSEE, FL 32399-1022 DBPR Form AB&T 4000A-125-3 Rev. 12/03 BEVERAGES SHIPPED TO / WITHIN FLORIDA SPIRITUOUS BEVERAGES shipped to / within Florida during the month of Name City Telephone No. ( ) Contact Person Address State Zip Yr List each shipment and file on or before the 10th of each month to the address above, ATTN: Bureau of Auditing INVOICE DATE NUMBER UNDER 17.259% OVER 17.259% 55.78% 55.78% GALLONS GALLONS GALLONS NAME OF CONSIGNEE CONSIGNEE'S CITY LOCATION Subtotals this page GRAND TOTALS FOR MONTH Proof: 17.259% by volume = 34.518 Proof 55.78% by volume = 111.56 Proof American LegalNet, Inc. www.FormsWorkFlow.com
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